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1942868013
STACY HARKINS JACKSON
ANNISTON, AL
NPI
1942868013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AL 4288C)
Enumeration Date
2019-06-03
Last Update Date
2019-06-03
Business Address
STACY HARKINS JACKSON LICSW
1812 WILMER AVE STE A
ANNISTON, AL 36201-3830
Phone number: 256-624-7045
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Mailing Address
STACY HARKINS JACKSON LICSW
609 DOUGLAS ST
OXFORD, AL 36203-3705
Phone number: 256-624-7045
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